Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor

Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor

Internal radioembolization with yttrium-90 is a promising treatment method, predominantly for liver tumors. However, the shifting of yttrium-90-loaded spherules into the arteries and veins that supply the duodenum and stomach, leading to ulceration, hemorrhage, perforation, and outlet obstruction of...

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Main Authors: Erkan Caglar, Gulen Doğusoy, Levent Kabasakal, Ahmet Dobrucali
Format: Article
Language:English
Published: Hoon Jai Chun 2016-09-01
Series:Clinical Endoscopy
Subjects:
Gastric outlet obstruction
Stenting
Yttrium-90
Online Access:http://www.e-ce.org/upload/pdf/ce-2015-149.pdf
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spelling doaj-01cbc1a87e024fdba141f33af63485a52020-11-24T23:44:13ZengHoon Jai ChunClinical Endoscopy2234-24002234-24432016-09-0149547948210.5946/ce.2015.1496889Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine TumorErkan Caglar0Gulen Doğusoy1Levent Kabasakal2Ahmet Dobrucali3 Division of Gastroenterology, Department of Internal Medicine, Cerahpasa Medical Faculty, Istanbul University, Istanbul, Turkey Department of Pathologic Anatomy, Cerahpasa Medical Faculty, Istanbul University, Istanbul, Turkey Department of Nuclear Medicine, Cerahpasa Medical Faculty, Istanbul University, Istanbul, Turkey Division of Gastroenterology, Department of Internal Medicine, Cerahpasa Medical Faculty, Istanbul University, Istanbul, TurkeyInternal radioembolization with yttrium-90 is a promising treatment method, predominantly for liver tumors. However, the shifting of yttrium-90-loaded spherules into the arteries and veins that supply the duodenum and stomach, leading to ulceration, hemorrhage, perforation, and outlet obstruction of these organs, is one of the major undesirable consequences of this technique. We report a case of gastric outlet obstruction (GOO) due to antropyloric stenosis with ulceration, edema, and inflammation following transarterial yttrium-90 treatment for a metastatic neuroendocrine tumor in a 58-year-old man. Stenting was used for palliation in this case. GOO improved after stenting and recovery of oral intake was permanent after stent removal.http://www.e-ce.org/upload/pdf/ce-2015-149.pdfGastric outlet obstructionStentingYttrium-90
collection DOAJ
language English
format Article
sources DOAJ
author Erkan Caglar
Gulen Doğusoy
Levent Kabasakal
Ahmet Dobrucali
spellingShingle Erkan Caglar
Gulen Doğusoy
Levent Kabasakal
Ahmet Dobrucali
Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
Clinical Endoscopy
Gastric outlet obstruction
Stenting
Yttrium-90
author_facet Erkan Caglar
Gulen Doğusoy
Levent Kabasakal
Ahmet Dobrucali
author_sort Erkan Caglar
title Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
title_short Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
title_full Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
title_fullStr Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
title_full_unstemmed Long-Term Palliative Effect of Stenting in Gastric Outlet Obstruction Due to Transarterial Chemoembolization with Yttrium-90 in a Patient with Metastatic Neuroendocrine Tumor
title_sort long-term palliative effect of stenting in gastric outlet obstruction due to transarterial chemoembolization with yttrium-90 in a patient with metastatic neuroendocrine tumor
publisher Hoon Jai Chun
series Clinical Endoscopy
issn 2234-2400
2234-2443
publishDate 2016-09-01
description Internal radioembolization with yttrium-90 is a promising treatment method, predominantly for liver tumors. However, the shifting of yttrium-90-loaded spherules into the arteries and veins that supply the duodenum and stomach, leading to ulceration, hemorrhage, perforation, and outlet obstruction of these organs, is one of the major undesirable consequences of this technique. We report a case of gastric outlet obstruction (GOO) due to antropyloric stenosis with ulceration, edema, and inflammation following transarterial yttrium-90 treatment for a metastatic neuroendocrine tumor in a 58-year-old man. Stenting was used for palliation in this case. GOO improved after stenting and recovery of oral intake was permanent after stent removal.
topic Gastric outlet obstruction
Stenting
Yttrium-90
url http://www.e-ce.org/upload/pdf/ce-2015-149.pdf
work_keys_str_mv AT erkancaglar longtermpalliativeeffectofstentingingastricoutletobstructionduetotransarterialchemoembolizationwithyttrium90inapatientwithmetastaticneuroendocrinetumor
AT gulendogusoy longtermpalliativeeffectofstentingingastricoutletobstructionduetotransarterialchemoembolizationwithyttrium90inapatientwithmetastaticneuroendocrinetumor
AT leventkabasakal longtermpalliativeeffectofstentingingastricoutletobstructionduetotransarterialchemoembolizationwithyttrium90inapatientwithmetastaticneuroendocrinetumor
AT ahmetdobrucali longtermpalliativeeffectofstentingingastricoutletobstructionduetotransarterialchemoembolizationwithyttrium90inapatientwithmetastaticneuroendocrinetumor
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